Actinic Keratosis Handout
Actinic Keratosis Handout
Actinic Keratosis Handout
Actinic keratoses (AKs) typically present as scaly, erythematous papules (bumps) or rough patches on sun-exposed areas and are the most common precancerous skin lesions. Treatment is necessary because approximately 2 to15% of lesions may progress to nonmelanoma cutaneous skin cancer (NMSC). Three strategies for treatment are commonly used: (1) Physical destruction (such as liquid nitrogen therapy) (2) Topical chemotherapy (such as 5-fluorouracil or imiquimod) (3) Light therapy (such as photodynamic therapyPDT) Therapy is determined by location (face, scalp, forearms, or legs) and extent (few versus multiple). After the treatment course is completed, red and/ or inflamed areas may benefit from application of a non-medicated ointment (such as petrolatum) or a medium-strength topical steroid ointment (such as hydrocortisone or desonide) for several days to weeks. Consult your doctor for advice on skin care following your treatment. Topical treatments for actinic keratoses often increase sun sensitivity and risk for sunburn. It is important to avoid the sun during the treatment as well as for several weeks afterwards (see below). Some patients may have persistent redness (faint pink) and slight tenderness for 3 to 6 months following the treatment.
The information contained in this publication should not be used as a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.